Individual
YVONNE NICOLE SULLIVN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SHAMROCK DR, LELAND, NC 28451-7622
(910) 274-4086
Mailing address
110 SHAMROCK DR, LELAND, NC 28451-7622
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
32624502
NC
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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